Active NPI
Daniel Dume-Charles, M.D.
- Family Medicine Physician
- Brooklyn, NY
National Provider Identifier
1578588182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 220943-1
- Practice address
- 9602 Avenue L
Brooklyn, NY 11236-4813 - Phone
- (718) 444-0437
- Fax
- (718) 763-1267
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 220943-1 | NY | Primary |
Addresses
Primary practice location
9602 Avenue L
Brooklyn, NY 11236-4813
Mailing address
842 Van Buren St
Baldwin, NY 11510-4652
Phone (718) 444-0437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02389297 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040819000848 | NY | Practitioner - Family Practice | 8224001904 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 220943-1 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brookdale Family Care Center, Inc. | Family Medicine | Past | Accepting new patients |
| Doshi Diagnostic Imaging Services PC | Past | Accepting new patients | |
| Brookdale Hospital Medical Center | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EHGBBD/Endpoint/EHGBBD
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1962459644
Family Medicine
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1962451195
-
- Diagnostic Radiology Physician
- Hicksville, NY
- NPI 1720031339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524182400000",
"number": "1578588182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "842 VAN BUREN ST",
"city": "BALDWIN",
"state": "NY",
"postal_code": "115104652",
"telephone_number": "718-444-0437",
"fax_number": "718-763-1267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9602 AVENUE L",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112364813",
"telephone_number": "718-444-0437",
"fax_number": "718-763-1267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUME-CHARLES",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2018-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "220943-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02389297",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.